<?php $this->load->view('vheader')?>
<div class="widget-box">
    <div class="widget-header">
	<h4 style="text-align:center; ">Member baru</h4><!-- Ini untuk judul form -->      
    </div>
	<div class="widget-body">
        <div class="widget-main"> 
		
		<table style="width:100%;">
		<tr>
			<td>Nama</td>
			<td>:</td>
			<td><input type="text"></td>
		</tr>
		<tr>
			<td>Tanggal lahir</td>
			<td>:</td>
			<td><input type="text"></td>
		</tr>
		<tr>
			<td>Jenis kelamin</td>
			<td>:</td>
			<td>
			<select name="jenis_kelamin">
			<option value=""> laki-laki</option>
			</select>
			</td>
		</tr>
		<tr>
			<td>Alamat</td>
			<td>:</td>
			<td><input type="text"></td>
		</tr>
		<tr>
			<td>Kota</td>
			<td>:</td>
			<td><input type="text"></td>
		</tr>
		<tr>
			<td>Telepon</td>
			<td>:</td>
			<td><input type="text"></td>
		</tr>
		<tr>
			<td>Hp</td>
			<td>:</td>
			<td><input type="text"></td>
		</tr>
		<tr>
			<td>Rekanan</td>
			<td>:</td>
			<td>
			<select name="rekanan">
			<option value=""></option>
			</select>
			</td>
		</tr>
		<tr>
			<td>Jabatan</td>
			<td>:</td>
			<td><input type="text"></td>
		</tr>
		<tr>
			<td>No Induk Karywan</td>
			<td>:</td>
			<td><input type="text"></td>
		</tr>
		<tr>
			<td>Platfom</td>
			<td>:</td>
			<td><input type="text"></td>
		</tr>
		</table>
		
        </div>        
    </div>
</div>
<!-- End -->
<?php $this->load->view('vfooter')?><!-- Dan diakhir ini -->